Sw Va Psychological Services
Counselor, Mental Health in Abingdon, VA. Organization (NPI-2).
NPI number1063662229
StatusActive
Last updated in NPPESSep 24, 2008
Details
- NPI
- 1063662229
- Entity type
- Organization (NPI-2)
- Legal business name
- Sw Va Psychological Services
- Organization subpart
- No
- Enumeration date
- Sep 24, 2008
- Last updated
- Sep 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0810002165 | VA | Yes |
Practice location
361b Falls Dr NwAbingdon, VA 24210-8093
Phone 276-628-5752 · Fax 276-628-5190
Mailing address
Po Box 245Abingdon, VA 24212-0245
Phone 276-628-5752
Authorized official
John Wallace Ludgate
President
2766285752
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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